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DEPA�TMENT OF COMMUNlTY DEVELO�MENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRE55 '/ 3 �'i�C�i �. -� l-G. TYPE s' F� /f' <br />i1)BUILDINGPERMITFEE °�%�'��'^` S -�7� � _ <br />, ,�(A) PLAN CHEf_K FEE �� _ <br />l2) PLi;MBING <br />�l) MECHANICAL <br />14) W�TER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />;A) TO BE DETERMINED BY BLDG INSPECTOR �_ INCH <br />�8) EXIST. WATER SERVICE, APPIICATlO NO. <br />r � <br />fC) APPROX. LOCATION. o� .�/�t� � <br />CHART <br />�� =u <br />/ � <br />J � —' <br />!0 0 �` <br />1:�) DRIVEWAY PERMIT TO RE PAID PRIOR TO BUILDING PERMIT IS- o <br />SUANCE �_FEET %�r�+-���• DRIVEWAY(TYPE) 3 �a � <br />e� <br />5 39S � <br />�') STATUS OF �WER CHARGES: <br />80ND _��DISTRICT <br />NOTES <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONNECTION CH�RGES <br />YEAR �� TRUNK <br />LA1'EHAL <br />TO ��L CONNECTION CHARGES <br />SFWEP. PERh11T FEE <br />CATCH BASIN PERMIT FCE <br />TOTAL SEWER PERMIT FEES <br />171 MONTHLY 5[WER CHARCES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />•�PI'ROX LOC�710N OF SIDE SEWER OR TEE IN THE MAIN: <br />NFO COMPILED �Y: <br />�PPROVAI <br />e� <br />b � 70 <br />S a0 � <br />� <br />5 • -5� —�b <br />CHART � �^2 "�� "`{ <br />DATE <br />DATE <br />1 <br />� <br />J <br />